GI conditions

Question 1

laparotomy

Answer 1

open surgery of the abdomen and repair

Question 2

laparoscopic

Answer 2

less invasive faster recovery time

surgery performed w/ high res camera

Question 3

colostomies

Answer 3

procedure that reroutes stool from diseased colon to external bag

Question 4

PT considerations GI

Answer 4

patient positioning for comfort:

• Side Lying to decrease tension on surgical site
• Flex knees while HOB lowered to decrease tension
• Supine can aggravate dysphagia and GERD
• Splinting during mobility/coughing

Increased fatigue likely
Be aware of dietary restrictions

Question 5

barium swallow

Answer 5

patient swallows barium liquid while x-ray and fluoroscopic images EXAMINE swallowing and peristalsis of esophagus

Question 6

modified barium swallow

Answer 6

used to Dx dysphagia

Question 7

endoscopy

Answer 7

look into digestive tract

Question 8

ERCP

Answer 8

Dx and treat gallbladder, biliary system, pancreas and liver

Question 9

GI (scintigraphy)

Answer 9

determine presence of GI bleed

Question 10

upper GI series

Answer 10

identifies disorders of esophagus, stomach, duodenum

Question 11

GERD

Answer 11

backflow of gastric acid into esophagus

Question 12

PUD

Answer 12

ulceration in the stomach or duodenum

No NSAIDs or aspirin

Question 13

dumping syndrome

Answer 13

food doesn’t get digested all the way and is coming out too quickly

consistent with hypoglycemia

Question 14

UGIB occurs

Answer 14

bleed occurs in esophagus, stomach, or duodenum

Question 15

LGIB occurs

Answer 15

bleed occurs in colon and anorectum

Question 16

diverticular disease

itis vs ulosis

Answer 16

ulosis - outpocketing

itis - inflamation of L intestine

Question 17

crohns disease

Answer 17

idiopathic IBD

occur anywhere in GI

Question 18

ulcerative colitis

Answer 18

idiopathic IBD

occurs in mucosal layer of rectum and proximal colon

Question 19

obesity morbid

Answer 19

BMI higher of 30

Question 20

encephalopathy

Answer 20

caused - acute or chronic liver disease - cirrhosis

impaired mental status

Question 21

cholecytitis

cholelithiasi

Answer 21

1. acute or chronic inflammation of gallbladder

2. gallstone

Question 22

GI precautions

Answer 22

no lifting > 10 ibs
no bending > 90 at hips
no valsalva
elastic waistband